<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal row-fluid"  data-validate="parsley" id="validate-form">
                    <div class="row">
	                    <!--
	                    	作者：634073349@qq.com
	                    	时间：2018-01-31
	                    	描述：第一列
	                    	http://www.runoob.com/jquery/jquery-plugin-validate.html
	                    -->
	                    <div class="col-sm-6">
	                    	<div class="form-group">
	                    		<label class="col-sm-3 control-label has-error" >姓名:</label>
	                    		<div class="col-sm-8">
	                    			<input type="text" id="name"  name="name" placeholder="请填写姓名" data-required="true" class="form-control">
	                    		</div>
	                    	</div>
		                    <div class="form-group">
		                    		<label class="col-sm-3 control-label" >手机号:</label>
		                    		<div class="col-sm-8">
		                    			<input type="text" id="mobile"  placeholder="请填写手机" name="mobile" required  data-maxlength="11" data-minlength="11"  class="form-control">
		                    		</div>
		                    </div>	
		                    <div class="form-group">
		                    		<label class="col-sm-3 control-label" >生日:</label>
		                    		<div class="col-sm-8">
		                    			<!--http://bootstrap-datepicker.readthedocs.io/en/latest/options.html-->
		                    			<input type="text"  id="birthday" placeholder="请填写生日" name="birthday"   class="form-control datepicker">
		                    		</div>
		                    </div>
		                     <div class="form-group">
		                    		<label class="col-sm-3 control-label" >职业:</label>
		                    		<div class="col-sm-8">
		                    			<input type="text" id="occupation"  name="occupation" placeholder="请填写职业"   class="form-control">
		                    		</div>
		                    </div>
		                    <div class="form-group">
		                    		<label class="col-sm-3 control-label" >家庭地址:</label>
		                    		<div class="col-sm-8">
		                    			<input type="text" id="addr"  name="addr" placeholder="请填写家庭住址"   class="form-control">
		                    		</div>
		                    </div>
		                    <div class="form-group p-b-xxs">
		                    		<label class="col-sm-3 control-label"  >会员来源:</label>
		                    		<div class="col-sm-8">
		                    			<?php  $come_froms=config('come_from'); ?>
					                    <select class="select2-single" name="come_from"  style="width: 100%;">
					                    	{foreach item="v" name="come_froms"}
					                    		<option value="{$v}">{$v}</option>
					                    	{/foreach}
										</select>
									</div>
						    </div>
	                    </div>
	                    <!--
	                    	作者：634073349@qq.com
	                    	时间：2018-01-31
	                    	描述：第二列
	                    -->
	                    <div class="col-sm-6">
	                    	<div class="form-group">
	                    		<label class="col-sm-3 control-label"  >性别:</label>
	                    		<div class="col-sm-8" >
	                    			<select class="form-control" name="sex">
	                    				<option value="1">男</option>
	                    				<option value="2">女</option>
	                    			</select>
	                    		</div>
		                    </div>
		                    
		                   <div class="form-group">
		                    		<label class="col-sm-3 control-label">身份证:</label>
		                    		<div class="col-sm-8">
		                    			<input type="text" id="id_card" placeholder="请填写身份证号" name="id_card"  required data-maxlength="18" data-minlength="18"  class="form-control">
		                    		</div>
		                    </div>
		                    
		                     <div class="form-group">
		                    		<label class="col-sm-3 control-label">护照:</label>
		                    		<div class="col-sm-8">
		                    			<input type="text" id="passport" name="passport" placeholder="请填写护照号"   class="form-control">
		                    		</div>
		                    </div>
		                    <div class="form-group p-b-xxs">
		                    		<label class="col-sm-3 control-label"  >归属会籍:</label>
		                    		<div class="col-sm-8">
					                    <select class="select2-single" name="member_ship_id"  style="width: 100%;">
					                      {foreach name="list1" item="v"}
					                      		<option value="{$v.id}">{$v.name}</option>
					                      {/foreach}
										</select>
									</div>
						    </div>
						    <div class="form-group">
		                    		<label class="col-sm-3 control-label" >备注:</label>
		                    		<div class="col-sm-8">
		                    			<textarea name="descs" id="descs" rows="6" placeholder="备注" class="form-control"></textarea>
		                    		</div>
		                    </div>
	                    </div>
                    </div>
                </form>
            </div>
            <div class="panel-footer">
                <div class="row">
                    <div class="col-sm-6 col-sm-offset-3">
                        <div class="btn-toolbar">
                            <div class="row">
		                		<div class="form-group">
			                    		<div class="col-sm-2">
			                    			 <div class="btn-primary btn" id="form-submit">提交</div>
			                    		</div>
			                    		<div class="col-sm-2">
			                    			 <div class="btn-warning btn" id="form-empty">清空</div>
			                    		</div>
			                    		<div class="col-sm-3">
			                    			 <div class="btn-danger btn" id="form-buy">提交并购卡</div>
			                    		</div>
			                    		<div class="col-sm-2">
			                    			 <div class="btn-default btn" data-dismiss="modal">关闭</div>
			                    		</div>
			                   	</div>
                			</div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.GYM_VIEW_JS}gym_member/member_in.js'></script>